Navigating the Transition to Value-Based Healthcare in Saudi Arabia: A Qualitative Study of Policy-Maker Perspectives

Objectives This article examines the implementation of value-based healthcare (VBHC) in Saudi Arabia, focusing on policy makers’ and health system leaders’ perceptions of the challenges and facilitators to its adoption. The study aims to identify key factors that can inform policy and resource allocation in the context of the country’s healthcare transformation and Vision 2030 initiative. Methods A qualitative approach was used through interviews with system leaders, followed by an inductive thematic analysis to identify the challenges and facilitators of VBHC implementation. Results Four major themes were identified: (1) Health System Structure, (2) Health Financing Structures, (3) Data Governance, and (4) Knowledge Translation in the Health Workforce. Subthemes were categorized according to the challenges and facilitators described by the experts. Conclusions This study emphasizes that the success of VBHC in Saudi Arabia depends on a comprehensive transformation, not just isolated technical fixes. Addressing interconnected challenges through aligned incentives, data systems, and governance is essential for sustainable healthcare value.